MR. PETER PAUL CARREON (NPI# 1578023917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578023917 |
| Entity Type | Individual |
| Full Name | MR. PETER PAUL CARREON |
| Credential | FNP |
| Practice Address |
13540 San Antonio Ave Chino CA 91710-7380 |
| Practice Telephone | 9095736294 |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-03-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
544459 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95010589 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13540 SAN ANTONIO AVE |
| City | CHINO |
| State | CA |
| Zip Code | 91710-7380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037887 | Corrections and Rehabilitation | Pharmacy | 14901 So Central Avenue, Chino, CA 91710 | 2020-03-11 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1982170510 | Kind Care Connections, LLC | In Home Supportive Care | 14726 Ramona Ave # E10, Chino, CA 91710 | 2018-10-22 |
| 1922593789 | Christopher Armando Camarena | Assistant Behavior Analyst | 6062 Eucalyptus Ave, Chino, CA 91710 | 2018-06-25 |
| 1730696519 | Barsoum Dental Corp | Dentist | 14613 Ramona Ave, Chino, CA 91710 | 2018-01-03 |
| 1326569864 | Christina La | Optometrist | 5250 Philadelphia St Ste D, Chino, CA 91710 | 2017-07-06 |
| 1629502554 | Jk Pharmacy Inc | Pharmacy | 5562 Philadelphia St, #110, Chino, CA 91710 | 2017-04-18 |
| 1801336680 | Altek Drugs Inc. | Pharmacy | 13085 Central Ave Ste 2, Chino, CA 91710 | 2017-02-28 |
| 1518405893 | Audrey Ronquillo | Behavior Technician | 800 Ferrari Ln, Suite 100, Ontario, CA 91710 | 2017-02-07 |
| 1952849556 | Jennifer Huynh | Behavior Technician | 800 Ferrari Ln Suite 100, Ontario, CA 91710 | 2017-02-03 |
| Find all providers in zip 91710 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241606 | Chu Yu Huang | Nurse Practitioner | 5562 Philadelphia St Ste 200, Chino, CA 91710-2482 | 2020-06-30 |
| 1528607306 | Tami Paone | Nurse Practitioner | 11465 Santa Anita Ave, Chino, CA 91710-1949 | 2019-12-27 |
| 1457825754 | Marie Antonette Badua | Nurse Practitioner | 12990 Homestead Pl, Chino, CA 91710-3390 | 2019-01-20 |
| 1659884278 | J & D Healthcare Inc | Nurse Practitioner | 6836 Vanderbilt St, Chino, CA 91710-1317 | 2017-11-06 |
| 1225425150 | Christine Lopez | Nurse Practitioner | 4045 Grand Ave, Chino, CA 91710-5424 | 2015-04-17 |
| 1336545268 | Aiqun Yu | Nurse Practitioner | 13768 Roswell Ave Ste 207, Chino, CA 91710-1405 | 2014-11-04 |
| 1619370194 | Mariam Clark | Nurse Practitioner | 6551 Harrington Ct, Chino, CA 91710-7376 | 2014-09-29 |
| 1750711966 | Kari Kelemen | Nurse Practitioner | 5562 Philadelphia St Ste 301, Chino, CA 91710-2499 | 2013-11-25 |
| 1427659754 | Justin Dale Reyes | Nurse Practitioner | 5562 Philadelphia St Ste 301, Chino, CA 91710-2499 | 2020-11-03 |
| 1730794694 | Adriane Denise Burns | Nurse Practitioner | 13193 Central Ave, Chino, CA 91710-4179 | 2020-09-08 |
| Find all providers in CHINO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.